Back to Search
Start Over
Birth-preparedness for maternal health: findings from Koupéla District, Burkina Faso.
- Source :
-
Journal of health, population, and nutrition [J Health Popul Nutr] 2006 Dec; Vol. 24 (4), pp. 489-97. - Publication Year :
- 2006
-
Abstract
- Maternal mortality is a global burden, with more than 500,000 women dying each year due to pregnancy and childbirth-related complications. Birth-preparedness and complication readiness is a comprehensive strategy to improve the use of skilled providers at birth, the key intervention to decrease maternal mortality. Birth-preparedness and complication readiness include many elements, including: (a) knowledge of danger signs; (b) plan for where to give birth; (c) plan for a birth attendant; (d) plan for transportation; and (e) plan for saving money. The 2003 Burkina Faso Demographic and Health Survey indicated that only 38.5% of women gave birth with the assistance of a skilled provider. The Maternal and Neonatal Health Program of JHPIEGO implemented a district-based model service-delivery system in Koupéla, Burkina Faso, during 2001-2004, to increase the use of skilled providers during pregnancy and childbirth. In 2004, a cross-sectional survey with a random sample of respondents was conducted to measure the impact of birth-preparedness and complication readiness on the use of skilled providers at birth. Of the 180 women who had given birth within 12 months of the survey, 46.1% had a plan for transportation, and 83.3% had a plan to save money. Women with these plans were more likely to give birth with the assistance of a skilled provider (p=0.07 and p=0.03 respectively). Controlling for education, parity, average distance to health facility, and the number of antenatal care visits, planning to save money was associated with giving birth with the assistance of a skilled provider (p=0.05). Qualitative interviews with women who had given birth within 12 months of the survey (n=30) support these findings. Most women saved money for delivery, but had less concrete plans for transportation. These findings highlight how birth-preparedness and complication readiness may be useful in increasing the use of skilled providers at birth, especially for women with a plan for saving money during pregnancy.
- Subjects :
- Adolescent
Adult
Burkina Faso
Cluster Analysis
Community Health Services standards
Female
Health Promotion
Humans
Infant, Newborn
Male
Maternal Health Services standards
Maternal Mortality
Pregnancy
Pregnancy Outcome
Prenatal Care
Transportation
Community Health Services methods
Health Planning methods
Maternal Health Services methods
Midwifery methods
Midwifery standards
Outcome and Process Assessment, Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 1606-0997
- Volume :
- 24
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of health, population, and nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 17591346